Individual provider Active NPI

Ann Williamson Walgenbach, RN, FNP, MSN, RNFA

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1376618249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
319640 Issued in CA
Practice address
3727 Buchanan St Ste 300
San Francisco, CA 94123-1779
Phone
(415) 563-3110
Fax
(415) 563-3301
NPI assigned
Nov 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 319640 CA Primary

Addresses

Primary practice location

3727 Buchanan St Ste 300
San Francisco, CA 94123-1779

Mailing address

7570 Altura PL
Oakland, CA 94605-3108
Phone (510) 632-1190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
319640CAMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376618249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 ALTURA PL",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946053108",
            "telephone_number": "510-632-1190",
            "fax_number": "510-569-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 BUCHANAN ST STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941231779",
            "telephone_number": "415-563-3110",
            "fax_number": "415-563-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALGENBACH",
        "first_name": "ANN",
        "middle_name": "WILLIAMSON",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP, MSN, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "319640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.